Mccoy, Shaderika Willis

Mccoy, Shaderika Willis is an individual health care provider with primary practice located at 10 Sunnybrook Rd , Raleigh NC 27610-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Mccoy, Shaderika Willis can be contacted via phone (919) 250-4520.

Contact Information

Primary practice address
10 Sunnybrook Rd Raleigh NC 27610-1808
Phone: (919) 250-4520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 5004764 North Carolina

Profile Details

NPI number 1528370244
LBN Legal business name Mccoy, Shaderika Willis
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated Apr 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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